Organization
SMILING KIDZ PPEC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YILIEN LARACUENTE (OWNER, SMILING KIDZ PPEC LLC)
(954) 394-2663
Entity
Organization
Contact information
Practice address
4415 SHERIDAN ST, HOLLYWOOD, FL 33021-3513
(954) 394-2663
Mailing address
4415 SHERIDAN ST, HOLLYWOOD, FL 33021-3513
(954) 394-2663
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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